MATTRESS PICKUP REQUEST FORM
Need a charity receipt to get your refund for the mattress you bought online that's still in the trial period? Adopt a Bed can help! Simply fill out this form and a representative will contact you to schedule an in-home pickup. If you need to reach us, call or text us here: 385-333-6692

Please note we cannot remove your old bed or accept beds older than 2 years. We can accept donations nationwide through our partner organization.

Email address *
Thank you for Your Donation!
First and Last Name *
Your answer
Street Address *
We need your home address so we know where to pick up your mattress.
Your answer
City *
Your answer
State *
Your answer
Zip Code *
We need your home address so we know where to pick up your mattress.
Your answer
Phone Number *
Your answer
Mattress Brand Name and Model *
Brand name of the mattress you're donating such as Purple, Casper, Ghostbed...
Your answer
Mattress Size *
Additional Items to Pick Up?
Have a frame, box springs, pillows, etc that need to be returned? Note them here so we make sure we have space in our vehicle.
Your answer
How to Best Reach You
Would you prefer to text, phone call or email?
Your answer
Availability
Let us know what days/times are generally best for you.
Your answer
How Did you Hear About Adopt a Bed?
We are new and looking for ways to get the word out!
Comments/Questions
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